Folic Acid / Folate Vitamin Exclusion
September 4, 2018
By contract, pharmacy benefit coverage does not include multivitamin products. However, we have been covering several folic acid/folate vitamin products that should have been considered benefit exclusions. Beginning Nov. 1, 2018, these products will no longer be covered. As of that date, members who continue to have prescriptions filled for these products will pay the full price.
Please note: This exclusion does NOT apply to prenatal vitamins.
The following products will be excluded as of Nov. 1.
| Abatrex | Airavite | Allanfol Rx | Animi-3Animi-3/Vitamin D | Av-Vite FB |
| B Complex/Folic Acid |
BP Vit 3 |
B-Serene | Btrex | Calafol Rx |
| Cardiotek Rx | Cenfol | Ciferex | Cifrazol | Combgen |
| Cyfolex |
D 1000 Plus |
Dermacinrx Purefolix | Divista | Durachol |
| Fabb | Folbalin | Folbee | Folcaps | Folene |
|
Foleve |
Folgard |
Folic Acid Xtra | Folic Acid/B-6/B-12 | Folic Acid/Cyanocobalamin |
| Foli-D | Folika-D | Folinic-Plus | Folixapure | Folnate |
| Folpace Rx |
Folplex |
Foltabs 800 | Foltx | Homocysteine Formula |
| Intrinsi B12/Folate | Millguard |
Mi-Omega |
Myo Vyt | Noxifol-D |
| Nufol |
Ortho D |
Pre-Folic | Revesta | Roxifol-D |
| Rx Essentials Antidepress | Rx Essentials Arthritis | Rx Essentials Cholesterol | Rx Essentials Diabetes | Rx Essentials Heartburn/Acid |
| Rx Support Heartburn/Acid | Taliva | TL Gard Rx | Virt-Gard | Virt-Vite |
| Vitamez | Zavara | Zolate |
Member Communications: We will send notification letters to impacted members.